MICHAEL JOHN LIZZA

CHARLESTON, WV
NPI1316528433
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-20
Last Update Date2021-04-20
Business Address
MICHAEL JOHN LIZZA DO
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-5432
Mailing Address
MICHAEL JOHN LIZZA DO
3200 MACCORKLE AVE SE, RM 5111
CHARLESTON, WV 25304
Phone number: 304-388-1020